(See also Overview of Bacterial Skin Infections Overview of Bacterial Skin Infections The skin provides a remarkably good barrier against bacterial infections. Although many bacteria come in contact with or reside on the skin, they are normally unable to establish an infection... read more .)
Lymph is a fluid that oozes out of the body's tiniest blood vessels. The fluid goes between cells and brings nourishment and carries away damaged cells, cancer cells, and infectious microorganisms. All lymph passes through lymphatic vessels to strategically placed lymph nodes. Lymph nodes filter damaged cells, cancer cells, and foreign particles out of the lymph. Special white blood cells in lymph nodes engulf and destroy damaged cells, cancer cells, infectious organisms, and foreign particles.
Streptococci bacteria can enter the lymphatic vessels (part of the body’s immune system Overview of the Immune System The immune system is designed to defend the body against foreign or dangerous invaders. Such invaders include Microorganisms (commonly called germs, such as bacteria, viruses, and fungi) Parasites... read more — see Figure: Lymphatic System: Helping Defend Against Infection Lymphatic System: Helping Defend Against Infection ) usually from a scrape or wound in an arm or a leg. Often, a streptococcal infection in the skin and the tissues just beneath the skin (cellulitis Cellulitis Cellulitis is a spreading bacterial infection of the skin and the tissues immediately beneath the skin. This infection is most often caused by streptococci or staphylococci. Redness, pain, and... read more ) spreads to the lymph vessels. Rarely, staphylococci or other bacteria are the cause.
Red, irregular, warm, tender streaks develop on the skin in the affected arm or leg. The streaks usually stretch from the infected area toward a group of lymph nodes, such as those in the groin or armpit. The lymph nodes become enlarged and feel tender (see Lymphadenitis Lymphadenitis Lymphadenitis is infection of one or more lymph nodes, which usually become swollen and tender. (See also Overview of Bacterial Skin Infections.) Lymph is a fluid that oozes out of the body's... read more ).
Common symptoms of lymphangitis include a fever, shaking chills, a rapid heart rate, and a headache. Sometimes these symptoms occur before the red streaks appear. The spread of the infection from the lymph system into the bloodstream (bacteremia Bacteremia Bacteremia is the presence of bacteria in the bloodstream. Bacteremia may result from ordinary activities (such as vigorous toothbrushing), dental or medical procedures, or from infections ... read more ) can cause infection throughout the body, often with startling speed.
A doctor's evaluation
The diagnosis of lymphangitis is based on its typical appearance.
If needed, a blood test usually shows that the number of white blood cells has increased to fight the infection.
Doctors have difficulty identifying the organisms causing the infection unless the organisms have spread through the bloodstream or pus can be taken from a wound in the affected area.
Most people recover quickly with antibiotics.